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AF - 42067City of Friclley, Minn.. - 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT .: � ..- : • p��. Tri-Co Builders Builder _.__ S� �_..._�. _.__�_..__..._._. �d�s �� 7�s Van Buren N. � � Address___._._..._..._...•••--__..�..__.__._.__.._...._._�.__..._....�.. LOCATION OF BUILDING Na 273 Street Ely St . N.E. ... . Part of Lot .__. ___._..._..� ..�...---..__.___.__... _-- � 7� 8 B;a� � 14 N�^�V A���on or Sub-Division ___ Spring Brook _Park � Cozaier Lot .� .r..... Inside Lot __ . X Setback .___.___.. 35. �__..._ Sideyard ---5_�.--b`--1 �� fiewer Elevatian _._.._�. .,._....,. .,._. __ Foundation Elevation DESCRIPTION O� BUILDING To be Used as: House ��ont 24' Depth 39� Height _.._.20�+ �. Ft. `936^^� � F� 18,720 (=a r ap ____ Front .._2.Q �......__ Depth _..2.;_� _ Height .---_�.� � _ Sq. Ft. ,_42 0 .__ �y,�. �, 4, 2 00 Ty�e-gf Construction _._.._._...__ F rame �� C�t � 20� 000 . 00 _,_ To be Completed ___5 J 1 J7 2_ �' (is,19o.44 Provide Hard Surface Driveway Verifying Survey In consideration of the issuance to me o# a permit to construct 'the building described above, I agree to do 'tlse proposed work in accordance with the desCription above sQ#�fo�th and in compliapye with all provisions oP ardinanc�s of the city of Fridley. / // In consideration of the payment of a fee of $43 .00 W��� ��t is heieby granted to._._Tri_Co. Builders to construct the building or addition as described above. This permit is granted upoli the exAress condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildingg �� �e city limits and this permit may be revoked at any time upon violation of any of the provisions of 8aid a7�'diaances. r IrispeC�OT Ci�.aY0I1C2 B011S 2 NOTICE: This psrmif does nof eove� the construetion, instailation for wiring, plumbing, gas heatieg, sewer or walsr. Bs sun to sw 1hs Building Inspeeto� fo� separate permits fo� these items. I � �- : APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA , .�-- -�- � ; � � OWNER'S NAA4E: �I°' ' , ��_ ��" ' �- BUILDER: %�� ,- �C�� �-� � �; _ � --1, ADDRESS : ADDRESS : � �' � �' � NO • ,� S TREET : _ E�L' {l S.: � �; �, IAT :�°� f' BLOCK: /� ADDITION:_ Sp��,yC� /j� %' .Of f� CORNER LOT: INSIDE LOT: � SETBACK: 3� SIDEYARA: S�'� /0�� Applicant attach to thia form T�o Certificates of Survey of Lot and proposed building location drawn on these Certificatea. i HESCRIPTION OF BUILDING To Be Used As; ,� .�c _ - , �� � J � � - . Front : '_ De�th :1 `p� Height : „� e:� ��C � �' � � �r -�, %:,: .� Square Feet • � ': � Cubic Feet • � `�` /` �t °"�.r l ,•T'_ `� =' " �xont : ".�. �: Depth : � � Height : / L Square Feet ; � �� Cubic Feet •_ '-� .�- (�' � � �i T�pe of Construction: �' J'`�'.�,� Estimated Cost: $�-.' `-��' � . . � � s To Be Completed: � �"i�� °' "' .�_--�-�� % � �" � � ��� � ; The underaigned hexeby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City af Fridley Ordina.nces and rulin.gs of the Department of Buildings, and hereby declaxes that all the facCs and repxesenta stated in t application are trae and corxect. ! �," � �.� ���,� � L1ATE: c'?� � U�/ � �1 SIGNAT[TRE _T (See Reverae Side �or Additional Info�at,t�on. ,� r � � � ��� .r�.�. Mw_. ..,,F�r,��.»,...��. � .. ..� �� -,:�«c_,�=� � �._ w ,,.> ,�.�...�. ;, , y_ .- r .� _. - -� r._ .:,. _.. . ._-�---�---...._....._• �, ', f�` �• ,,,-_ �,. . , t , . , _--�'". - 1 . . .... .... .. . .. ,. �. . ,�:.w � ., . t `; ' r. _ �: �, , ., � �; c� � x '.,� .�t .;,..3„� , � , r',. � L. ..;� � .:a„�i:t . _{,. , , r, . . . . ,. . _. R . ^ +. 1_ ( ... � � ` J :i. " , � � l ,4 Y 4% r r�*� � .. �.,, � �„ �• I .. , - ' . ,. , � r e i, '�? 1 X �� r- ' .,� � ,} � � � —.,...�+r..ti.+ � "'"� ".�w... `� �� J � � � .."i � � �.,� � /6,'� �� � .pa �F Y f� ��1+� .^i� 4 / `.. � f / ._.I' . ( 8.: � #�' �. :19' . L .. A..!, y, v'� � .. �.i � , • F� � . LiX�� ..� . �.,� MINNEAPOLIH LICENBED I�l 5-� DONALD H. DEUTSCH LAND SURVEYOR 72�-��3 5 PMONE: ' '� 1�155 - 2l�th Avanue South MINNEAPDLIS, MINNESOTA 55406 �� _.. �� �" �p � � � ,� 30 � 3� � , i li -- � Lo-� 7 1 Lm� � ,� , � � u�� � � N I �N vi a ll �� ;4 �C �� i �� �� �' , ---_ Scac_E , 40 � : , , � , . � � ,.. � . , T �A � ,� �DENOTES .l.P.A�I (�to�.1• ' ,�,� ;k � �► � .: .s' �• __ ___— �_ -- - ��, �K � ' 4 I ��' �' �t 26S �281 �n � _ � � �_ � - _ _ .z y� 35� � ;^ 35' � � � � _ � - -- �ao -- ' � �4t S� � EE-r N . � - � -�- - - - S �.oGK ��- I heroby aortify that the pl�t heroon fs a t�ue and cor�ect representation of a aurvey of the boundaries of Lo�s ? a�d 8, Bioak ].l�,, "Sprin� Brook Pa►rk, Anoka County, �linn.", �s surveyed by me tr.e 29th day of &iarah, 1969. � �. , r @ � . - . _ , . , � _ , a , � , � � . , � � � . � r . . . . , � .. , , � � . . . . . . � . � . .. . . ., _ ._ ... .' . � " . . i ' .� . . . . . - ' ;P ' . . . . . . . . : . t P � , - i • .. � • • . � - . .. . , � t� . ` ^�a . . �. - � . - .._'� � � , _ . . . , . . . . . � i � .. . . �. . � . - �� � . . ... ...._ . ' . . " _.. t ' ' ' . ' ; r , - .. . ._ � . .. . . . . . r . . B���d� N� � 1 �52 - �g Job Re s • � ADDRESg �����f L P00't . : . y S�- ° ' OWNER 7 . ' /�� U S s , . BUILDEFi � � � /. , y;9 �s • E- oAre �� fy rr.�,: � ���,-� � J, ' -�_ _� � �ESCRIPTION PERMIT NO. - - . � � . . � � � � � �U ''/ J�' � � � �J . � � !Ji �. '_ ! �S � � / , �, � {'c ', � � fs'r' c .: /) � .. i , , � '`" / %c r � ' �� INSPE ,`�/S ��f)��'� � � � � __ DA7E CTION RECORD �'�� s'_ `•:`, �%�4//L � , . /�� �-�. �1� ) � `�� t t" c REPpRT . , �a � ' � � � � '' , , , `� . . ' h Y _ . J . . _ . / / � /� � /ci /t' f�- f . , � � . �-a..� f ��'_ '� � / ;. _ � • . - , . . _�' '� F' -� f� r � ,/� �; � �`� / �� � / / . �' � `/� � � . . . . . �..�_ � ... � � Y- - � . - � � v � .7 � ✓ �� . , � ' � , - � � ,�` ' : .. �- �f i�� , i P �' P � ` ..- �` : � /� � � ` C/ . �l c ` ��j'�' � ` � ky i� 1� � -' S �G�; 'v� . • _ ��Cf Y G1 o LL , `Zv' s7�rv� j�F,� c G.�; . . J � c ��G r � � j C' o v, %-v Y. � � ` , -- �-� s � � r� � � . . Y��cJ � Yc?'/`77 � / i£? ownT��Z!�REPL �:v y,� � �� z- � ��,� aj . - Y�ra - � � • . . � l ' ' �� INSPECTpR -� , . . , � �' . ' d sua�ecr PE City of Fridley 17 6 0 8 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � R TN ' COMMUtJITY DEVELOPMENT DIV. / � ' r � L � PROTECTIVE INSPECTION SEC. � 3 � � � 1 � � � � /��'1 � CITV HALL FRIDLEv SS432 NUMBER REV. DATE PAGE OF APPROVED BV � '""��� ,�� 612-571-3450 910-F15 . 7/12/84 � � JOB ADDRESS 2�3 Ely Street N.E. 1 LEGAL �OT NO. BIOCK TRACT OF ADDITION SEE ATTACHED oescR. 7, g 4 Spring Brook Park SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Robert Freeman 273 Ely Street N. E. 786-1973 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Boone Gonstruction Co., Inc. P.O. B.ox 29406 B,rookl n Center MN - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHQNE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 14' x 14' Addition to Ho s d ' ' 9 CHANGEQFUSEFROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR V1+'�RING. �AR�1'�C� Q �tEATlNG, PLUMBlN� AND SIGNS. �•n ca+� bcal ut;t�t►..s �chs�e ����� g GAS Etc. T���PHONE - ELECiP•iC - R �C�U�R�p �Y �p'� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOR�ZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT AMY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 'rJ.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-OI�SO $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- None TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SF)• SO PLAN CHECK FEE TOTAL FEE � • � • �«�./ 21. 3 113 . 46 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDP.TEI �� . WHEN PROPERLV IDATED THIS IS YOUR PERMIT / SiGNATURE OP OWNER UF OWNER BUIL�ERi �DATEI BLDG iNSP DA E NEW [ l City of Fridley Effective �/1/84 ADDN. �'�] 8-1 AAD R-2 AI,TER. � l Building Permit Application Construction Address: Legal Deseription: �?3 r� � 7# . N_ c . � r� I� �,E- - r� Owner Name & Address : �--� �'�'�' ��"""-r''° � Tel . # ��' ��7� Contractor : t�� r��2 � n i� � ���- � Tel . # ��' '�-3� Address: � c� ��� Z� �f��� �i��-�-,� C�.�--�� �.ST�Z1? 7 Attach to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to seale. LIYING AREA: GARAGE AREA: DECR AREA: OTHER: 1 6� �I� , Corner ot [ � D$SCRIPTION OF IMPROFEMENT Length �`f � Width �� Height Sq. Ft. � v Length Width Height Sq. Ft. � , � Length �_ Width ��� Hgt/Ground y Sq. Ft. 5 � z�j ' j i�c.�/,� -�- � Inside lLot [�] Ft. �' y � �, � � �- � �Q,� �I = I� � Cos'S.sY Yd. Setback Side Yard Setback Type of Construction: ��► ��' ��"�^^� - Estimated Cost: $ � �� �n�� Approx. Completion Date: �� �" � � ? � � � - U Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation �� � � DATE: - - � APPLICANT: r/J � �G�`'�-' Tel. # CITY IISE ONLY Permit Fee � � Q ._ Fee Schedule on Reverse Side Plan Check $ 25� of Building Permit Fee State Surcharge $ � � �� $.50/$1,000 Valuation SAC Charge $ -�-� �425 per SAC Unit Park Fee $ ""°"` Fee Determined by Engineering Sewer Main Charge � """° Agreement Necessary [] Not Necessary [ J TOTAI. $ � STIPULATIONS: � � �SC, _ � �, � .. __�. . . . . ��;A'�ai'. . •'� y �F . . , �,.r : � �� _ ` . -, �... __: ,� ,� — _ _ _ _. �-� � .___ --_ — �—,�_ _ _. t _ ____..�.._. :" _,_ _____ _ � — - � "_ k _._..� ""_ _ ' `�, � � .. � _ :� �� � � ����� �� - c:-���i�-t -��t ("` _ .,..._;c : - — � . . _. I i �\` 273 c�y �Stzc�� ,�Ji�r�ziFeus�__.. -- � '� � ��-F-�I _'__�' _ _._ _...._ � LL ... _ _ " -- ,. -_- —. _.�`�r �JSLRIl 1 ���IZI2t60f4 ��73 - . .._.._ ar='r�.-'r-_� ' _ _.._ -_ . _ ... _— y � � r�-_- . (� � %l��i �9Z3 _ — ( nE�.� f�.�..r . � � _ �L� . . _ __ __ _. _,. . _ _ � � 'i i — --- � �' _- . _,__ � R • � —' : . � - ---- 9 -�! •� _ _. _ _ _ _._ � _ � _ _ _ _ - --- - - - . _ ... _ __ _ -- ---- -�-I I J_ 'I. _ i _ a—_-1 .: 1 t . ! 1. _ �_ [�=L (" i .t ". t i-- 1 . _ 1 _ .I:- ---_`� _._ �� .�1 r — A �� �� � 'I �� r as �I _ i � .. � !�/ � O ~ / ! /L�7%� % �� .�.�/.ii .00__ � _ � . �________ __----_. � - � . .._.. __.._.... ! � � '_ . " .� r� S T � 1 i7 E_ � � ' I _ � /5' � � � . � STEVEN L. BOONE CONST. CO., tNC�. 7212 DALLAS RD. P.O. BOX 29406 BROOK�YN CENTER, MN 56429 r_�_�_—. ----� , _., . \ \ � .- � _ — ---_ _ ____ -- __ _ __ , , . _ _ _- _�� -. __ - ----- -- --r----_ -. - - ---- � ... : .J � " __� �. � � _ . i_ _ i � _"".. ..' _ i ' - - ..._ ... . _ ! __ _ � _ f -1 : . � _ ; _ , - , t _ -- - - _ _ __ _ _- ___ , ._. _� - _ -_ __ � __ _-- _ _ . - � �- -- � � _� , ; �. 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" � z � � � 1�� � t� � : , . `� , t � � �i�1! •_ .� ' ; ��� }� j i-') ,t ' :y � �� ; ; ��� ,� t �, r S �(i;.� i_ �,i .1 j y � � 4`' � �ij �f��y�1 L� � +� � �• � . . -� ..� s._„� .......� : ^ ► ; --=�-y:u�� ��, i � � ; Z � � ____..`.. : ; 3 J' f y•' } •• �`..^tSeC l,�Dt/'�'Y. 3 '�. � I ' + � . . . � . f i {• ' . 1 i � � _ � , . - - � i ). d' -•-- - . " .� ] • „r,,..,,...; ,� � r.. � �` •, f .J � �� C_4j � 6 ,. �� �-. � � :� , iiA;s is c� lrue crnd cor'ruct reprosentutian af a survey o( th �ou�:c'a�ief o: t�t lond ubove describe � t,nd o1 the � f - iototioa ef ntl I�Ui1J��c3s, ii. any, thercCn� d�cj nt1 �isialcr rntrr,ush�nCnls i! v:. f, ' � ' . Y, om or on �oid lancf: Thrs s,lrvoy �s .��e a�ly in connection wi}h a i io.tyn9 � toaa aow '.•��n� �>S�u•:t �n �7,r Q=v�z�t� o�d no �;u5;►,►r is o+su:+wd - cxcrg! to 11�r f�nider ai suah �i�u�tg��r,i r.r onrt pt;�c�� in'r�•res/ ut.t�+rrd by tht �easaw u! such �ssortgar�e.' :+ is �nrw�; jto�d artd n�r�ec! n4 r»onu:�trrrs hnre bea•n ic�cU:! }u� I/i ,,j- � � t' o p�.p�se ol ��l��lishinq iat ii»ei or �oun:lbrr . ,trtrarzs. Octvd it�is i•e c!or of�a�, A. d. 1C 1�. _ .. _ � =�� ��,.�. �� �� --� - . � � $vtluc2i3sti�{ +�r��i� �..� _ `� � , � s , E�FRtN(;,_!N ; x � �`� -r 1i1(lis��@R�yI � .�,�-�'�Q�l ,� x - : Q �- }Y � ... a'�i � - - 7. .. , �., y p �•` � w. � � ' � ��i a-Y � fFf '_'(- 1 b +y ,� 5 �� }` ':S S� �� � yg _ . _ .�.� �r"�!�:.ac."'"-'!�,,.""' .. . �; . . _ _ .�.�??; Building MECHANICAL pe�tNo.: `�`� 1.� Inspections RESIDENTIAL APPLICATION ea � ��� ��d: � 763-572-3604 , CIT'�' OF FRIDI�EY _ _ DATE 1 � ---�— SITE ADDRESS ^ THIS APPLICANT IS: ❑ OWNER PROPERTY NqME: OWN�R/ nDD�ss: TENANT . PHONE: CONTRA.CTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ADDRESS CITY ST COMPANY NAME;�_ CONTACT PERSC ,��� , �,� 410 WESt (, sTa�LicErtsE� $ }�. MN 55408 2 �2, � STATE ZIP ADDRESS: PHOt�T� ❑ NEW FAMILY C! TWO FAMILY ��%�EPLACEMENT \ DETAII,ED DBSCRIPTION OF WORK FAX [7 TOWNHOUSfi ❑ ALSERATTON/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the unprovernent, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost oflabor x.OS = _ __ FOR PR03ECTS VJf�RE LASOR SXCEEDS S500, FEES ARE BASED ON $10.00 PER FIxi'URE, EXCEPT WHERE N�TED. FI3CTf.3RES: (INDICATE TOTAL NUMBER OF EAGH BELOWj �--�^ : �l 3 SiZEBTU Equipment Installed MFG: t MODEL: MFG: MODEL: SIZEfBTU MFG: MODEL: SIZFIBTU �!C $25.00 FIREPLACE (GAS) 515.00 GAS RANGFJUVEN 510.00 AIR TO AIR EXCHANGEER $15 ,FIREPLACE (WOOD) $35.00 NEW GAS GRILL S10.00 BOILER $35.00 �FURNACE $35.Q0 GAS UNIT HTR S 10.00 CHIMNEY LINER $10.U0 GAS DRYER S10.00 �� �''°`T� �5'� DUCT WORK 510.00 �GAS PIPING $10.00 VENTILATOR 515.00 � — Permit Fee $ Number of fixtures @ $10.00 � x $10.00 = $�a _ � Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $ Number of fixtures @$25.00 � x$25.Q0 =$�� Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Tota1= $^�� ♦��"' i THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with die Minnesota �Construction Codes; that I understand this is not a permit but only an applicatio for a permit ork is not to start without a pernut; that the work will be in accordance with the approved plan in the caseSrf�� �ch re��view and approval of��i ! � n/�/.�-^ SIGNATURE OF c�ty o� ��al�y Building Inspections Department b431 University Avenue NE, Fridley,. MN 55432 763-572-3604 FAX: 763-502-4977